Organization
AMBROSON APOTHECARY
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MICHAEL AMBROSON (CO-OWNER)
(641) 792-3111
Entity
Organization
Contact information
Practice address
111 W 2ND ST N, NEWTON, IA 50208-3251
(641) 792-3111
Mailing address
111 W 2ND ST N, NEWTON, IA 50208-3251
(641) 792-3111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
647
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201251
—
IA
Enumeration date
05/08/2006
Last updated
08/22/2020
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